Skip to Main Content

Office of Mental Health

Individualized Action Plans (IAP) Archived v2.0 Form Set (Current Version: 3.0)

Form Usage Index Excell Document
Form Element Glossary Excell Document

Individualized Action Plan (IAP)
Form Name
PDF Forms Word Forms Form Descriptions
Individualized Action Plan (IAP) PDF Document Word Document Word Document
Additional Goal Page PDF Document Word Document Word Document
Individualized Action Plan 1 Goal N/A Word Document Word Document
Individualized Action Plan 2 Goal N/A Word Document Word Document
Individualized Action Plan 3 Goal N/A Word Document Word Document
Individualized Action Plan 4 Goal N/A Word Document Word Document
IAP Review / Revision PDF Document Word Document Word Document
PROS Individual Attestation Form PDF Document Word Document Word Document
PROS Initial Services Recommendation (ISR) PDF Document Word Document Word Document
Psychopharmacology Plan PDF Document Word Document Word Document
Psychopharmacology Plan Review PDF Document Word Document Word Document
Relapse Prevention Plan PDF Document Word Document Word Document
Discharge Summary / Plan - Part A PDF Document Word Document Word Document

OASAS only
Individualized Action Plan (IAP)
Form Name
PDF Forms Word Forms Form Descriptions
Discharge Summary / Plan - Part B PDF Document Word Document Word Document
Functional Area Form PDF Document Word Document Word Document

Comments or questions about the information on this page can be directed to Jon Rice (OMH)

While NYSCRI strives for accuracy, neither NYSCRI, OMH or OASAS (relative to Version 2.0 or prior work)   warranties NYSCRI’s products as being compliant with any laws, rules or regulations. These resources may be used voluntarily as supports to meet such requirements though providers are responsible for the services delivered, content documented and billing completed, independent of any NYSCRI resources being utilized.